Optimization of Chest Tube Drainage Management

Chang Gung Medical Foundation

Status: Completed

Conditions: Age >18 Years-old; Lung Diseases; Patient Who Received Thoracoscope Surgery

Treatments: Device: Not use Digital chest drainage system; Device: Digital chest drainage system

Study type: Interventional

Funder types: Other

Identifiers

NCT03791437

CGMH-IRB-201701495A3

Details and patient eligibility

About

Early recovery after surgery was new developing science in recent years. However , there was few reports in thoracic surgery field . Investigators try to using digital chest drainage management system into the field of postoperative care and to see whether it could help patients to recovery from surgery as soon as possible. According to investigators's clinical data collecting , investigators will establish a new postoperative care guideline for those patients who receive thoracic surgery

Full description

Drainage of the space between the ribs and lungs has been practiced since the time of Hippocrates. Thus far, the function of chest tubes, specifically to drain fluid or air from the pleural space, has virtually remained unchanged for more than 3000 years. The use of chest drainage tubes after thoracic surgery is crucial to evacuate air leakage and/or pleural effusion; however, delayed tube removal may exacerbate pain, delay recovery of lung function and prolong hospitalization. Recently, Thopaz digitally monitored thoracic drainage system (Medela Healthcare, Baar, Switzerland)has been designed to provide objective measurements of air leakage and pleural pressure. With this system, air leakage and pleural pressure can be accurately measured in mL/min and mm H2O, respectively. The rate of air leakage can be seen on a display in real time. Digital surveillance for air leakage is reported to reduce interobserver disagreement in decision making in the management of patients with chest tubes, which might help caregiver a more solid evidence of strategies of postoperative chest drainage care.

Enrollment: 253 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Volunteer to join the study after thoroughly explanations
• Patient who received thoracoscope surgery for lung lesion

Exclusion criteria

• Not willing to join the study after thoroughly explanations
• Patients who have not received thoracoscope surgery for lung lesion

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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253 participants in 2 patient groups

Experiment groups

Experimental group

Description:

Post chest operative use Digital chest drainage system until Patient's discharge day

Treatment:

Device: Digital chest drainage system

Control groups

Active Comparator group

Description:

Post chest operative use traditional drainage system until Patient's discharge day Not use Digital chest drainage system

Treatment:

Device: Not use Digital chest drainage system